Provider Demographics
NPI:1558725036
Name:ORENSHTEYN, VERA (BS)
Entity Type:Individual
Prefix:
First Name:VERA
Middle Name:
Last Name:ORENSHTEYN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 W PALMETTO PARK RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-3329
Mailing Address - Country:US
Mailing Address - Phone:561-750-8205
Mailing Address - Fax:561-392-3391
Practice Address - Street 1:1401 W PALMETTO PARK RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-3329
Practice Address - Country:US
Practice Address - Phone:561-750-8205
Practice Address - Fax:561-392-3391
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist